HomeMy WebLinkAbout18109 WOODBINE DR_951917_2026 City of Arki ngton
NOTICE and Inspection Report
P P
Phone# 4(j — C C( (t
Permit No.
1 Legal Date Called `.��4, — ��l Address t(Cr J
Time CalledC Contractor/Owner ' C
By V r} Requested by
C
TYPE
OF e
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing Final
❑ Foundation ❑ Rough4n Plumbing [J Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL ❑ CORRECTION REQUIRED
❑ coons listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
CALL 435-0724 FOR INSPECTION—24 hour notice required.
(-7
G
Insp r �Z Date / ��
City of Arl-* ngton
NOTICE and I,LA I?
Report
1 Phone# � �C- `�-` l ^ 9 Is Cf
Permit No.01� 19 l 7 Legal _ �! �-r—Isci
Date Called 5 j 3-9(4 Address l'R i c) q 4,
Time Called + Contractor/Owner LLI t.l1✓y. t��
�
By - � Requested by ��:wi
1TYPE OP INSPECTIONREQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing Dry ❑ F wall Nailing inal
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
Url(PPROVAL ❑ CORRECTION REQUIRED
❑ Con ions listed below MUST BE MADE before work can be approved.
ork listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Inspector Date /�� -<c,
City of Arl ` ,agton
NOTICE and Inspection Report
Phon
Permit No. — I Legal e#
C �2<
Date Called 1ST Address / C
Time Called /�� C Contractor/Owner-�-^ `' ' - ,-
By Requested by / L4! 1
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
Cl Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL L&CORRECTION REQUIRED
lulu❑ Corrections listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved. (/
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
77
Inspector Date
City of Arl ; ngton
NOTICE and Inspection Report
J Phone#
Permit No.,f.s'— / Legal g. y
Date Called Address_7' < ���
Time Called ��: Z-0 Contractor/Owner
By Requested by Zf—
TYPE • INSPECTION
❑ Setback ❑ Roof Diaphragm ;Kinsulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing �Reinspecfion
❑ Shear Wall ❑ Mechanical ❑ Other
[-APPROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
[r],VVo'rk listed below has been inspected and approved.
❑ CALL -0724 FOR REINSPECTION—24 hour notice required.
Inspector' Date `' ��
City of Arl ' ugton
NOTICE and Inspection Report
G� Phone#
Permit No. /� �� 7 Legal
Date Called Address Fj ! G✓J.( ':e- /J
Time Called Contractor/Owner
By Requested by
TYPE OF • REQUESTED
❑ Setback Roof Diaphragm ❑ Insulation
❑ Plumb GW Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation Rough-in Plumbing Reinspection
❑ Shear Wall ❑ Mechanical Other
F46---APPROVAL ❑ CORRECTION REQUIRED
❑Zrk
ections listed below MUST BE MADE before work can be approved.
listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Inspector Date �� -
City of Ar] ngton
NOTICE and Inspection Report
``G� I Phone# Q
Permit No. ^) 1 4 Q Legal
Date Called 4`ZR — l� Address
Time Called Contractor/Owner J 1
By Requested byd
TYPE'OF • •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
❑ APPROVAL �CORRECTION REQUIRED
�ections listed below MUST BE MADE before work can be approved.
❑ W listed below has been inspected and approved.
CALL 435-0724 FOR REINSPECTION—24 hour notice required.
�l
5 �1�,�,
T - io e
C )0,elaze 76
Inspector Date
City of Arl ngton
NOTICE and Inspection Report
Phone#
Permit No. f ! / Legal
Date Called _ Address
Time Called Contractor/Owner
By Requested by
TYPE OF •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ><Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Roughmin Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
d-APPROVAL ❑ CORRECTION REQUIRED
erections listed below MUST BE MADE before work can be approved.
I Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECTION—24 hour notice required.
e- /Inspector Date
City of Arli gton
NOTICE and Inspection Report
Phone#
Permit No. ��/[ n Legal ` n�
Date Called `j� /7—7�p Address 1�`0( l CC 0z
Time Called (�. > (. Contractor/Owner 3 a
By Requested by e! !n
TYPE OF • REQUESTED
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation Rough-ir.Plumbing ❑ Reinspection
❑ Shear WallMechanical ❑ Other
APPROVAL ORRECTION REQUIRED
ectiops listed below MUST BE MADE before work can be approved.
9W listed below has been inspected and approved.
CALL 435-0724 FOR REINSPECTION—24 hour notice required.
oy' -
L -1T
Inspector Date
mastee pkals are
,On K;7eA6?, x;1e7 City of Arl '-ngton
NOTICE and Inspection Report
Phone#
Permit No. Legal
Date Called — Address
Time Cal �� /� Contractor/Owner
By Requested by
TYPE OF •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing Cl Drywall Nailing ❑ Final
*Shear
❑ Foundation ElRough-in Plumbing ❑ Reinspection
Wall ❑ Mechanical ❑ Other
❑ APPROVAL &-J-aOARECTION REQUIRED
(�rrecltions listed below MUST BE MADE before work can be approved.
❑ Work listed below has been inspected and approved.
!CALL 435-0724 FOR REINSPECTION—24 hour notice required.
tic/�
Date
Inspector ��
City of Arl ngton
NOTICE and Inspection Report
Phone#
Permit No. / / Legal '(�j g
Date Called —4_ S Address T lS I- CJ -1 L( � cc_ L)il
Time r �0 F1'l Contractor/Owner
By ✓ Requested by _ Z t4,
TYPE OF • REQUESTED
Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
❑ Footing ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing Reinspection
Shear Wall nab k ❑ Mechanical 7i�lother
ZAISP—ROVAL ❑ CORRECTION REQUIRED
❑ Corrections listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑7)CALL 435-0724 FOR REINSPECTION—24 hour notice required.
Inspector Date
_� :�
City of Ar] 4.ngton
NOTICE and Inspection Report
Phone#
Permit No. 7 q/ Legal Ld% F7 '
Date Called G ff(Q Address ��� j C�• (7'e• EJ
Time Called O .JJ Contractor/Owner
By Requested by Z—M—
TYPE OF INSPECTION •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
❑ Plumb GW ❑ Framing ❑ Gas Piping
D Footing ❑ Drywall Nailing ❑ Final
❑, Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL C1CORRECTION REQUIRED
❑ Co ctions listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
CALL435-0724FOR EINSPECTION—24 hour notice required.
Inspector Date
�✓` City of Ar] ngton
NOTICE and Inspection Report
—7 Phone#
Permit No. `{ / Legal
Date Called Address
Time Called Contractor/Owner
.s
By Requested by 7 <�
TYPE OF • •
❑ Setback ❑ Roof Diaphragm ❑ Insulation
iumb GW ❑ Framing ❑ Gas Piping
noting ❑ Drywall Nailing ❑ Final
❑ Foundation ❑ Rough-in Plumbing ❑ Reinspection
❑ Shear Wall ❑ Mechanical ❑ Other
APPROVAL -CORRECTION REQUIRED
!� ions listed below MUST BE MADE before work can be approved.
Work listed below has been inspected and approved.
❑ CALL 435-0724 FOR REINSPECT10N—24 hour notice required.
<
Inspector
Date
C I TY OF R RL I N0-r0N
COIVa-rRUO-r I ON RERM I T
RERMIT NO_ 95-1917
Owner: COUNTRYWOOD HOMES 14410 BEL-RED RD #2O0 BELLEVUE 98007
Value of Work: $187,963.42 Tax ID: GE IVA 89 Phone: 206-644-2323
Describe Work: NEW CONSTRUCTION
Proposed Use: SFR
Legal Description:
Job Address: 18109 W. COUNTRY CLUB DR.
Contractor's Name Type Address License#
COUNTRYWOOD HOMES INC. G 14410 BEL-RED RD #200 COUNTI*210MJ
RELIABLE SHEET METAL INC. M 11447 120TH NE RELIASM345LF
UNITED PLUMBING P 17625 130TH AVE NE 102 UNITEP*148RF
P E R M I T F E E S - i
Equipment andFixtures
-____ __ -_--Y- Number --Fee--- Total-Charge
- -
PLUMBING FIXTURES 16 $7.00 $112.00
FURNACE ( 100,000 BTU 1 $9.00 $9.00
CLOTHES DRYER 1 $6.50 $6.50
f VENTILATION FANS 5 $4.50 $22.50
KITCHEN RANGE 1 $6.50 $6.50
+ METAL FIREPLACE & CHIMNEY 1 $6.50 $6.50
WATER HEATER 1 $6.50 $6.50
GAS PIPING 1-5 OUTLETS i $3.00 $3.00
S U B T 0 T A L...... $172.50
TOTALS Fee
Equipment $60.50
Fixture $112.00
Mech Permit, $15.00
Permit Fee $1, 067.50
Plan Fee $693.88
Plumb Permit $15.00
State fee $4.50
School Mitigation $941.00 X
SIGNATURE.`
TOTAL FEE................. $2,909.38 I HEREBY CERTIFY THAT I HAVE READ
AND EXAMINED THIS APPLICATION AND
PAYMENTS. ...... ..... . .. . . . $667.88 KNOW THE SAME TO BE TRUE AND COR-
RECT PROVISIONS OF LAWS AND
TOTAL DUE.... . . .... . .. . ... $2,241.50 ORDIN N ES GOVERNING THIS TYPE OF
WORK I L BE MPLIE WIT WHETHER
SPICAF ED,HE N 0 OT.
DATIFAID RECEIPT #
jt� �� �g�� ��� BU LDING FILIAL
N 00020'24" E 67.00 I
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_ 12/26/95 I p
7.00 ; 1
�ri�d• �'J ., ".�.:�a�� � � ` Jam,
I I V \I
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24.00
55.00 M
!2 5.00
3 31.00
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SIDEWALK E ASEM ,T p
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10' PRIVATE DRAT AGE ESMT.
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N 00020'24" E 67.00
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LEGAL DESCRIPTION rn 11/17/95 VPO147184
LOT 89, GLENEAGLE SECTOR IV A P CSOFT 88217P24F\569089
WOODBINE ROAD
NORTH
basic plan no: 941D/3R
COUNTRYWOOD HOMES scale:
II' = 20' job no: 569-89
CITY OF ARLINGTON
CONSTRUCTION
PERMIT
❑ COMBINATION L•A BUILDING 0 MECHANICAL ❑ PLUMBING El SIGN PERMIT NO.f�-/f,(7
j OWNER / MAIL ADDRESS CI7Y ZIP PHONE
ARCHITECT OR ItESI ER MAIL XobRESS CITY ZIP PHONE
it (2,
GENERAL CONTRACTOR MAIL ADDRESS CITY ZIP HONE_ LIC NSE I
MECHANICAL CONTRACTOR MAIL ADDRESS CITY ZIP PHONE LICENSE R
PLUMBING CONTRACTOR, MAIL ADDRESS CITY ZIP PHONE LICENSE N
3 CLASS OF WORK
NLW ❑AUDITION ❑ALTERATION ❑REPAIR ❑DEMOLI TION ❑BUILDING RELOCATION
Q A UATIONOF WORK
IWL DES(RI
3 _
m PRUPOSE D USE-OF BUILDING
rn 1 HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICA-
W TION AND KNOW THE SAME TO BE TRUE AND CORRECT ALL PROVI-
J LLGAL UES('RIPIION OF PROPERTY(SHOWN BELOW OR ATI t OUR COPIES)
(�CJ LL SIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK
-j LOI�_RLOCK OF 6111C� L WILL BE COMPLIED WITH WHETHER SPECIFIED HERIN OR NOT.THE
a ,1 GRANTING OF A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO
LW., �? v)ZL` o-oo Q 11 I wU VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR
J TAX ID NUMBER FROM PROPERTY TAX STATEMENT LOCAL LAW REGULATING CONSTRUCTION OF THE PERFORMANCE OF
CL ,"1 ; CONSTRUCTION.PERMIT EXPIRES 1 YEAR FROM DATE OF ISSUANCE.
l W.
V )O UDRZ.SS i SIGNATURE OF CONTRACTOR R AUTHORIZED AGENT DATE
(OFFICE USE O Y)
PLUMBING BCHANICAL
Nn. TYPE OF FIXTURE FEE x's FIXTURES NO. TYPE OF EQUIPMENT FEE x's FIXTURES
_ PvATER CLOSET (LET S7.00 IR COND.UNITS-H.P. EA d .list**
_y - ATHTUB S7.00 IEFRIGERATION UNITS-H.P.EA ul -list**
5 VATORY ASH BASIN $7.00 30ELPRS—H.P.EA. 39tip.list"
_ I HOWER S7.00 FA
FIRED A.C.UNITS—TONNAGE H to .list"
TCHEN SINK R DISPOSAL $7.00 CED AIR SYSTEMS—B.T.U. MEA S9.00
% ISHWASHER $7.00 L HEATERS—B.T.U. M S9.00
UNDRYTRAY S7.00 HEATERS—H.T.U. M S9.00
LOTHES WASHER $7.00 tENTIIATION
PORATIVECOOLERS
ATER HEATER $7.00 THPS DRYERS S6S0
RINAL $7.00 PAN S450
KINKING FOUNTAIN $7.00 GE HOOD COMMERCIAL S650
LOOR DRAIN S7.00 HANDLING UNIT— CPM
ACUUM BREAKERS S7.00 VE $6S0
OOP DRAINS—RAINL.FADERS $7.00 AETAL FIREPLACE&CHIMNEY S650
INK(SERVICE—BAR,ETC S7.00 WATER HEATER S650
AS PIPING *(up to 5-$3.00.eddel.=S.75
-Equipment list must be provided
SUB TOTAL SUB TOTAL
PERMIT F PERMIT
TOTAL FEE k TOTAL FEE
SIUL YARU SE I ACK STRELI St IBACK REAR YARD SETBACK PLAN CHECK NUMBER PLAN CHECK FEE
C � l/— �?' FEE 6 7' RECEIPT NO.
/ ,*
USE/.UNE�� LOT AREA VACANT SITE❑ J E
,CL`�// //%,jt/l/• vE5 NO FEES /VALUATION FEE
jvl V . OCCUPA Y GROUP NO.OF DWELLING UNITS PLAN CHECKING VG Cp� 3 .
c1 i 1 5a
SlLkOI BLM� NO.OF STORILS MAX.OCC.LOAD BU LDING S ( 7
PLUMBING
�. FIRE SPRINKLERS QUIRED
❑YES NO MECHANICAL
COMMENTS STATE BLDG.CODE
ENERGY CODE SURCHARGE
PENALTY U.B.C.
NA
� SEC.303(a)
REC '
WATER/SEWER FEES
OV TOTAL
PERMIT VALIDATION
JT'Y OF ARLIN(a i 01\ WHEN PROPERLY VALIDATED(IN THIS SPACE)THIS IS YOUR PERMIT 6 RECEIPT
PAID CRO BY
AUILDiNG OFFICIAL DATE
cc:ASSESSOR,APPLICANT,TREASURER, BLDG DEFT RECORDS COPY